| NPI Details | |
|---|---|
| NPI | 1063778728 |
| Enumeration Date | 04/06/2012 |
| Last Updated | 11/12/2012 |
| Entity Type | Healthcare Provider |
| Active | Over 6 years ago |
| Authorized Information | |
|---|---|
| Name | DENNIS E DENNIS |
| Position | SR VP FINANCE |
| Phone | (307) 532-2107 |
| Fax | |
| Practice Location | |
|---|---|
| 625 ALBANY AVE TORRINGTON WY, 82240-1530, US |
|
| Phone | (307) 532-2107 |
| Fax | |
| Business Location | |
|---|---|
| 1441 N 12TH ST PHOENIX AZ, 85006-2837, US |
|
| Phone | |
| Fax | |
| Toxanomy | |
|---|---|
| Taxonomy Code | 261QM1300X |
| License State | |
| License Number | |
| Remove 1063778728 NPI Number | |
According to our database, Banner Health Physicians West Llc NPI is 1063778728, taxonomy code is 261QM1300X Banner Health Physicians West Llc physically located at 625 Albany Ave, Torrington WY, 82240-1530. NPI Number 1033115704 has the healthcare provider type.
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1063778728 NPI number is provided on an as is basis without warranty of any kind. 1063778728 is maintained by the National Plan & Provider Enumeration System. The contents of Banner Health Physicians West Llc are for informational purposes only.
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